Segment OBR to DiagnosticReport Map - HL7 Version 2 to FHIR v1.0.0

HL7 Version 2 to FHIR
1.0.0 - STU 1 International flag

HL7 Version 2 to FHIR, published by HL7 International / Orders and Observations. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/v2-to-fhir/ and changes regularly. See the Directory of published versions

ConceptMap: Segment OBR to DiagnosticReport Map (Experimental)

Official URL: http://hl7.org/fhir/uv/v2mappings/ConceptMap/segment-obr-to-diagnosticreport				Version: 1.0.0
Standards status: Informative				Computable Name: SegmentOBRToDiagnosticReport
Copyright/Legal: Copyright (c) 2025, HL7 International, Inc., All Rights Reserved.

This ConceptMap represents a mapping from the HL7 V2 Segment OBR to the FHIR DiagnosticReport Resource.

This ConceptMap represents the mapping from the HL7 V2 OBR Segment to the FHIR DiagnosticReport Resource. See also the FHIR Shorthand or the CSV Source.

HL7 v2						Condition (IF True, args)			HL7 FHIR								Comments
Sort Order	Identifier	Name	Data Type	Cardinality - Min	Cardinality - Max	Computable ANTLR	Computable FHIRPath	Narrative	FHIR Attribute	Extension	Data Type	Cardinality - Min	Cardinality - Max	Data Type Mapping	Vocabulary Mapping (IS, ID, CE, CEN, CWE)	Assignment	Comments
1	OBR-1	Set ID – OBR	SI	0	1
2	OBR-2	Placer Order Number	EI	0	1			If ORC-2 of the same ORC/OBR pair is not valued OR there is ORC segment in the current ORDER_OBSERVATION segment group	Identifier		Identifier	0	-1	EI[Identifier-Extension]
2	OBR-2	Placer Order Number	EI	0	1			If ORC-2 of the same ORC/OBR pair is not valued OR there is ORC segment in the current ORDER_OBSERVATION segment group	DiagnosticReport.identifier.type.coding.code		code	0	1			"PLAC"
2	OBR-2	Placer Order Number	EI	0	1			If ORC-2 of the same ORC/OBR pair is not valued OR there is ORC segment in the current ORDER_OBSERVATION segment group	DiagnosticReport.identifier.type.coding.system		uri	0	1			"http://terminology.hl7.org/CodeSystem/v2-0203"
3	OBR-3	Filler Order Number	EI	0	1			If ORC-3 of the same ORC/OBR pair is not valued OR there is ORC segment in the current ORDER_OBSERVATION segment group	Identifier		Identifier	0	1	EI[Identifier-Extension]
3	OBR-3	Filler Order Number	EI	0	1			If ORC-3 of the same ORC/OBR pair is not valued OR there is ORC segment in the current ORDER_OBSERVATION segment group	DiagnosticReport.identifier.type.coding.code		code	0	1			"FILL"
3	OBR-3	Filler Order Number	EI	0	1			If ORC-3 of the same ORC/OBR pair is not valued OR there is ORC segment in the current ORDER_OBSERVATION segment group	DiagnosticReport.identifier.type.coding.system		uri	0	1			"http://terminology.hl7.org/CodeSystem/v2-0203"
4	OBR-4	Universal Service Identifier	CWE	1	1				code		CodeableConcept	1	1	CWE[CodeableConcept]
5	OBR-5	Priority	ID	0	1
6	OBR-6	Requested Date/Time	TS	0	1
7	OBR-7	Observation Date/Time	DTM	0	1	IF OBR-8 NOT VALUED			DiagnosticReport.effectiveDateTime		dateTime	0	1				This should not be populated in a message corresponding to a ServiceRequest (eg ORM)
7	OBR-7	Observation Date/Time	DTM	0	1	IF OBR-8 VALUED			DiagnosticReport.effectivePeriod.start		dateTime	0	1
8	OBR-8	Observation End Date/Time	DTM	0	1				DiagnosticReport.effectivePeriod.end		dateTime	0	1				This should not be populated in a message corresponding to a ServiceRequest (eg ORM)
9	OBR-9	Collection Volume	CQ	0	1
10	OBR-10	Collector Identifier	XCN	0	-1
11	OBR-11	Specimen Action Code	ID	0	1
12	OBR-12	Danger Code	CWE	0	1
13	OBR-13	Relevant Clinical Information	CWE	0	-1
14	OBR-14	Specimen Received Date/Time *	TS	0	1
15	OBR-15	Specimen Source	CM	0	1
16	OBR-16	Ordering Provider	XCN	0	-1
17	OBR-17	Order Callback Phone Number	XTN	0..2	2
18	OBR-18	Placer Field 1	ST	0	1												If this field is valued, the implementer must decide how to map this as the content varies by implementation.
19	OBR-19	Placer Field 2	ST	0	1												If this field is valued, the implementer must decide how to map this as the content varies by implementation.
20	OBR-20	Filler Field 1 +	ST	0	1												If this field is valued, the implementer must decide how to map this as the content varies by implementation.
21	OBR-21	Filler Field 2 +	ST	0	1												If this field is valued, the implementer must decide how to map this as the content varies by implementation.
22	OBR-22	Results Rpt/Status Chng – Date/Time +	DTM	0	1				DiagnosticReport.issued		instant	0	1
23	OBR-23	Charge to Practice +	MOC	0	1
24	OBR-24	Diagnostic Serv Sect ID	ID	0	1				DiagnosticReport.category		CodeableConcept	0	-1	ID[CodeableConcept]	DiagnosticServiceSectionID
25	OBR-25	Result Status +	ID	0	1	IF OBR-25 VALUED			DiagnosticReport.status		code	1	1		ResultStatus[Non-Queries]
25	OBR-25	Result Status +	ID	0	1	IF OBR-25 NOT VALUED ERROR		If OBR-25 is not valued, that is an error on the v2 side as in this use case it is required.
26	OBR-26	Parent Result +	PRL	0	1												This will be mapped in a next edition with micro and other structures.
27	OBR-27	Quantity/Timing	TQ	0	-1
28	OBR-28	Result Copies To	XCN	0	-1												Deferred to a future edition and considering CommunicationRequest using .basedOn and .reason plus a means to indicate that the request to copy was made at the time of the request being made or later in the process.
29	OBR-29	ParentResults Observation Identifier	EIP	0	1												This will be mapped in a next edition with micro and other structures.
30	OBR-30	Transportation Mode	ID	0	1
31	OBR-31	Reason for Study	CWE	0	-1
32	OBR-32	Principal Result Interpreter +	NDL	0	1				DiagnosticReport.resultsInterpreter(DiagnosticReport.PractitionerRole)		Reference(DiagnosticReport.PractitionerRole)	0	-1	NDL[PractitionerRole]
33	OBR-33	Assistant Result Interpreter +	NDL	0	-1
34	OBR-34	Technician +	NDL	0	-1				DiagnosticReport.performer(DiagnosticReport.PractitionerRole)		Reference(DiagnosticReport.PractitionerRole)	0	-1	NDL[PractitionerRole]
34	OBR-34	Technician +	NDL	0	-1				DiagnosticReport.performer.extension.url		uri	1	1			"http://hl7.org/fhir/StructureDefinition/event-performerFunction"
34	OBR-34	Technician +	NDL	0	-1				DiagnosticReport.performer.extension.valueCodeableConcept.coding.code		code	0	1			"SPRF"
34	OBR-34	Technician +	NDL	0	-1				DiagnosticReport.performer.extension.valueCodeableConcept.coding.system		uri	0	1			"http://terminology.hl7.org/CodeSystem/v3-ParticipationType"
35	OBR-35	Transcriptionist +	NDL	0	-1				DiagnosticReport.performer(DiagnosticReport.PractitionerRole)		Reference(DiagnosticReport.Practitioner)	0	-1	NDL[PractitionerRole]
35	OBR-35	Transcriptionist +	NDL	0	-1				DiagnosticReport.performer.extension.url		uri	1	1			"http://hl7.org/fhir/StructureDefinition/event-performerFunction"
35	OBR-35	Transcriptionist +	NDL	0	-1				DiagnosticReport.performer.extension.valueCodeableConcept.coding.code		code	0	1			"TRANS"
35	OBR-35	Transcriptionist +	NDL	0	-1				DiagnosticReport.performer.extension.valueCodeableConcept.coding.system		uri	0	1			"http://terminology.hl7.org/CodeSystem/v3-ParticipationType"
36	OBR-36	Scheduled Date/Time +	DTM	0	1
37	OBR-37	Number of Sample Containers *	NM	0	1
38	OBR-38	Transport Logistics of Collected Sample *	CWE	0	-1
39	OBR-39	Collector's Comment *	CWE	0	-1
40	OBR-40	Transport Arrangement Responsibility	CWE	0	1
41	OBR-41	Transport Arranged	ID	0	1
42	OBR-42	Escort Required	ID	0	1
43	OBR-43	Planned Patient Transport Comment	CWE	0	-1
44	OBR-44	Procedure Code	CNE	0	1
45	OBR-45	Procedure Code Modifier	CNE	0	-1
46	OBR-46	Placer Supplemental Service Information	CWE	0	-1
47	OBR-47	Filler Supplemental Service Information	CWE	0	-1
48	OBR-48	Medically Necessary Duplicate Procedure Reason	CWE	0	1
49	OBR-49	Result Handling	CWE	0	1
50	OBR-50	Parent Universal Service Identifier	CWE	0	1												This will be mapped in the next phase with micro and other structures.
51	OBR-51	Observation Group ID	EI	0	1
52	OBR-52	Parent Observation Group ID	EI	0	1
53	OBR-53	Alternate Placer Order Number	CX	0	-1
54	OBR-54	Parent Order	EIP	0	1												This will be mapped in the next phase with micro and other structures.
54	OBR-54	Parent Order	EIP	0	1